Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa

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dc.contributor.authorMyers, Bronwynen_ZA
dc.contributor.authorKline, Tracyen_ZA
dc.contributor.authorDoherty, Ireneen_ZA
dc.contributor.authorCarney, Taraen_ZA
dc.contributor.authorWechsberg, Wendeeen_ZA
dc.date.accessioned2015-11-27T09:34:28Z
dc.date.available2015-11-27T09:34:28Z
dc.date.issued2014en_ZA
dc.description.abstractBACKGROUND: Initiation of treatment for substance use disorders is low among young women from disadvantaged communities in Cape Town, South Africa. Yet little is known about the factors that influence perceived need for treatment (a determinant of treatment entry) within this population. METHODS: Baseline data on 720 young, drug-using women, collected as part of a randomized field experiment were analyzed to identify predisposing, enabling and health need factors associated with perceived need for treatment. RESULTS: Overall, 46.0% of our sample perceived a need for treatment. Of these participants, 92.4% wanted treatment for their substance use problems but only 50.1% knew where to access services. In multivariable logistic regression analyses, we found significant main effects for ethnicity (AOR=1.54, 95% CI=1.05-1.65), income (AOR=0.96, 95% CI=0.93-0.99), anxiety (AOR=1.22, 95% CI=1.05-1.45), and not having family members with drug problems (AOR=1.45, 95% CI=1.05-2.04) on perceived need for treatment. When the sample was stratified by methamphetamine use, income (AOR=0.87, 95% CI=0.79-0.96), awareness of treatment services (AOR =1.84, 95% CI=1.03-3.27), anxiety (AOR =1.41, 95% CI=1.06-1.87) and physical health status (AOR=6.29, 95% CI=1.56-25.64) were significantly associated with perceived need for treatment among those who were methamphetamine-negative. No variables were significantly associated with perceived need for treatment among participants who were methamphetamine-positive. CONCLUSIONS: A sizeable proportion of young women who could benefit from substance use treatment do not believe they need treatment, highlighting the need for interventions that enhance perceived need for treatment in this population. Findings also show that interventions that link women who perceive a need for treatment to service providers are needed. Such interventions should address barriers that limit young women's use of services for substance use disorders.en_ZA
dc.identifier.apacitationMyers, B., Kline, T., Doherty, I., Carney, T., & Wechsberg, W. (2014). Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/15407en_ZA
dc.identifier.chicagocitationMyers, Bronwyn, Tracy Kline, Irene Doherty, Tara Carney, and Wendee Wechsberg "Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa." <i>BMC Psychiatry</i> (2014) http://hdl.handle.net/11427/15407en_ZA
dc.identifier.citationMyers, B., Kline, T. L., Doherty, I. A., Carney, T., & Wechsberg, W. M. (2014). Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa. BMC psychiatry, 14(1), 100.en_ZA
dc.identifier.ris TY - Journal Article AU - Myers, Bronwyn AU - Kline, Tracy AU - Doherty, Irene AU - Carney, Tara AU - Wechsberg, Wendee AB - BACKGROUND: Initiation of treatment for substance use disorders is low among young women from disadvantaged communities in Cape Town, South Africa. Yet little is known about the factors that influence perceived need for treatment (a determinant of treatment entry) within this population. METHODS: Baseline data on 720 young, drug-using women, collected as part of a randomized field experiment were analyzed to identify predisposing, enabling and health need factors associated with perceived need for treatment. RESULTS: Overall, 46.0% of our sample perceived a need for treatment. Of these participants, 92.4% wanted treatment for their substance use problems but only 50.1% knew where to access services. In multivariable logistic regression analyses, we found significant main effects for ethnicity (AOR=1.54, 95% CI=1.05-1.65), income (AOR=0.96, 95% CI=0.93-0.99), anxiety (AOR=1.22, 95% CI=1.05-1.45), and not having family members with drug problems (AOR=1.45, 95% CI=1.05-2.04) on perceived need for treatment. When the sample was stratified by methamphetamine use, income (AOR=0.87, 95% CI=0.79-0.96), awareness of treatment services (AOR =1.84, 95% CI=1.03-3.27), anxiety (AOR =1.41, 95% CI=1.06-1.87) and physical health status (AOR=6.29, 95% CI=1.56-25.64) were significantly associated with perceived need for treatment among those who were methamphetamine-negative. No variables were significantly associated with perceived need for treatment among participants who were methamphetamine-positive. CONCLUSIONS: A sizeable proportion of young women who could benefit from substance use treatment do not believe they need treatment, highlighting the need for interventions that enhance perceived need for treatment in this population. Findings also show that interventions that link women who perceive a need for treatment to service providers are needed. Such interventions should address barriers that limit young women's use of services for substance use disorders. DA - 2014 DB - OpenUCT DO - 10.1186/1471-244X-14-100 DP - University of Cape Town J1 - BMC Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa TI - Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa UR - http://hdl.handle.net/11427/15407 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15407
dc.identifier.urihttp://dx.doi.org/10.1186/1471-244X-14-100
dc.identifier.vancouvercitationMyers B, Kline T, Doherty I, Carney T, Wechsberg W. Perceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africa. BMC Psychiatry. 2014; http://hdl.handle.net/11427/15407.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2014 Myers et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Psychiatryen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpsychiatry/en_ZA
dc.subject.otherPerceived need for drug treatmenten_ZA
dc.subject.otherMental healthen_ZA
dc.subject.otherWomenen_ZA
dc.subject.otherSouth Africaen_ZA
dc.subject.otherMethamphetamineen_ZA
dc.titlePerceived need for substance use treatment among young women from disadvantaged communities in Cape Town, South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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